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General NPI Number Information
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NPI Number | 1992478697
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Entity Type | Organization
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Legal Business Name | PEDIATRIX MEDICAL GROUP OF FLORIDA INC
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 12959 PALMS WEST DR STE 120
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-4938
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Country | US
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Telephone | 561-753-8888
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Fax | 855-527-5510
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax | 855-527-5510
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN B OLIVER
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Credential |
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Telephone | 877-885-0588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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